Discuss the impact of policy on its own implementation and how implementation influenced the final outcome of Medicare Part D legislation?

With reference(s)

 

APA format 4 references 2 from Walden university library Need a response for below discussion 1 and half pages Due Friday September 29,2017 at 1800, 

Will pay 10 dollars 

Groups

Teamwork is crucial to the advancement of an organization, the collaboration and joint effort of every individual within the organization can significantly improve the overall outcomes of the organization. The formation of groups can help reduce the stress and distribute the workload within a healthcare organization to help certain individuals function as a group and focus on certain assignments to effectively deliver a high quality healthcare to the population. Effective communication and great team player skills are significantly important when considering the formation of a group, the leader of the group must understand the dynamics and be an effective communicator and understand what it takes to facilitate the group members (Marquis and Huston, 2015).

Four Stages of Group

The first stage is called the Forming stage, at this level the group rules are set and explained, interpersonal relationships are formed, and the culture of the group is established. The second stage to group formation is the Storming stage, at this level ideas are exchanged and members can agree and disagree effectively and collaborate together to achieve a set goal. The third stage is the Norming stage, at this stage, individual strength and weakness are recognized and appreciated, teamwork is a lot more evident at this level, the authority of the leader is recognized and improvements and adjustments will be made at this stage to the group dynamic (mindtools.com, 2012). The fourth and last stage of group formation is the Performing stage, at this stage all the effort and collaboration of the group becomes evident as the goal is met and work is accomplished. The team members are now comfortable with their duties and can independently work to contribute to the group as a whole (Marquis and Huston, 2015).

 

Group Description

In an attempt to reduce 30 day readmission in the heart failure population, we serve within my organization, we developed a clinical excellence team to address the issue and find a way to correct the situation. The team developed a program called the heart failure program which was initially tested in one care center and then finally introduced to the entire organization. Individuals from separate care centers were selected as team members, all who had prior leadership role within their department, therefore there was a little challenge to conclusively appoint a group leader due to the strong leadership personalities of every member. Once we got past this hurdle the group communication was effective and the set goal was achieved. Respect and exceptional communicating skills was one area that I can attest to that really propelled the excellent outcome of the group through all the stages.  Currently the group is at its performing stage, the program is now introduced to the entire organization and every patient admitted with the diagnosis of heart failure is placed on the program due to its success rate in keeping our patients readmission rate low, with members of the group now serving as resources to the entire organization.

Role as a leader and strategies to improve Group

It is important for the leader to be well vested in multiple roles to effectively manage a team, the leader must always be patient, have the ability to manage other individuals, recognize each individual strength and weakness and be able to effectively utilize the information gathered towards achieving the set goal of the group. One of the role of a good leader is the Gatekeeper, as the gatekeeper facilitating the members and encouraging an open communication within the group is significant (Marquis and Huston, 2015). It is the responsibility of the formal leader to recognize and appreciate an informal leader within the group, someone who is efficient and has the skills of managing and effectively communicating with other members of the team or has gained their respect.

A great strategy for the leader is to have a great communicating skills, this is especially important to effectively manage and direct the group as a whole (Chun & Choi, 2014). A clear understanding of each individual’s role within the group, division of duty can make it very easy for every individual to function as a unit within the group. Respect for the leader’s role is an area that can bring conflicts to the group, certain individuals may naturally have the skills of a leader and become a dominator, attempting to step into the role of a leader without the authority, and this can disrupt the dynamics of the group. As the leader, I continually oversee and redirect every team member to help each one effectively perform their individual role as a team player.

Summary

The combination of individual effort and contribution to a group cannot be overlooked, multiple ideas can be shared and result concluded to achieve a set goal. The clear understanding of each team member’s role and task is a great step towards accomplishing a positive outcome from a group. Health care providers perform interdependent duties and operate in different roles but ultimately share the common goals of providing high quality and safe care to the population. Almost all the delivery of health care requires teamwork by members who are not necessarily trained together. Therefore the introduction of TeamSTEPPS training to all health care providers is a great way to ensure a proper functioning group with individuals having a clear understanding of their role within a team (Haynes and Strickler, 2014).

 

 

 

 

Reference

Chun, J. S., & Choi, J. N. (2014). Members’ needs, intragroup conflict, and group performance. The Journal Of Applied Psychology, 99(3), 437–450. doi:10.1037/a0036363

Haynes, J., & Strickler, J. (2014). TeamSTEPPS makes strides for better communication. Nursing,44(1), 62–63. doi:10.1097/01.NURSE.0000438725.66087.89

Mind Tools. (2012). Forming, Storming, Norming, and Performing: Understanding the Stages of Team Formation. Retrieved from Mind Tools: https://www.mindtools.com/pages/article/newLDR_86.htm

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Haynes, J., & Strickler, J. (2014). TeamSTEPPS makes strides for better communication. Nursing,44(1), 62–63. doi:10.1097/01.NURSE.0000438725.66087.8

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Question 1 :

Identify one health care reform initiative put forth by a  politician. Briefly discuss the initiative. Who do you feel the  initiative benefits? Who does it harm? Should it be passed? Why or why  not?

Question 2 :

For this reflective discussion:  Reflect upon two concepts that you learned in this course. What are the concepts? What insight or ideas did you gain from  learning each of these concepts? Were there aspects of the concepts that  you would challenge? What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career? Optional: Offer feedback on how the course and/or facilitation of the course can be improved.

Reflection is a mental process that challenges you to use critical  thinking to examine the course information, analyze it carefully, make  connections with previous knowledge and experience, and draw conclusions  based on the resulting ideas. A well-cultivated critical thinker raises  vital questions and problems, formulating them clearly and precisely;  gathers and assesses relevant information, using abstract ideas to  interpret it effectively; comes to well-reasoned conclusions and  solutions, testing them against relevant criteria and standards; thinks  open-mindedly within alternative systems of thought, recognizing and  assessing, as need be, their assumptions, implications, and practical  consequences; and communicates effectively with others in figuring out  solutions to complex problems. (Paul & Elder, 2008)

In order to earn maximum credit, the comment should be more than your  opinion, and more than a quick “off the top of your head” response. Be  sure to support your statements, cite sources properly, cite within the  text of your comments, and list your reference(s). The response must be a  minimum of 250 words.

Based on your selected MSN program, write your first section of your ROLE paper using the following criteria:

For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3 page paper (excluding the title page and references): Focusing on the specialty (Family Nurse Practitioner), select an advanced nursing role to research. (It must be one offered by South University.) Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level Apply an Advance Nursing Practice Concept to your chosen role  Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview.  Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3) Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; ieAmerican Association of College of Nursing. (2010)). Format your paper, citations, and references using correct APA Style.